scholarly journals Social correlates of sexual risk behaviors among urban men who have sex with men in Kolkata, India

2015 ◽  
Vol 4 (1) ◽  
pp. 17-24
Author(s):  
Soumya Sarkar ◽  
Subhasis Bhandari ◽  
Pinaki Sensarma

The factors defining the vulnerability of men who have sex with men (MSM) population are multiple and follow a complex social pattern culminating to their risk for human immunodeficiency virus (HIV) transmission. Even though the vulnerability of this population has been previously reported, prevention efforts are poor, may be due to the lack of understanding of the nature of sexual behavior in its social context. The main aim of this research was to study the social factors that are correlated with sexual risk behavior among the urban MSM population living in Kolkata. A community-based cross-sectional survey was conducted in the Kolkata Metropolitan Area using a pre-structured interview guide. Data obtained from 126 beneficiaries of the NGO networks representing the MSMs of the area, were analyzed. Prevalence of sexually transmitted infections (STI) among the MSMs during a recall period of last six months was used as a marker of sexual risk. Multiple logistic regression analyses were done to estimate and test associations between STI and social variables. The prevalence of STI among the respondents was 60.3% (95% confidence interval (CI): 51.2-68.9). Inconsistent condom use (OR:11.98; 95%CI: 4.03-35.59), low self-esteem (Rosenberg scale) (OR:4.18; 95%CI: 1.48-11.82), substance abuse during sexual activity (OR:4.94; 95%CI: 1.30-18.82), and adverse reactions when coming out (OR:4.91; 95%CI: 1.63-14.77) were significantly associated with STI prevalence. For HIV risk reduction among the MSM population, intervention efforts should address the potential social stressors and adverse life events in addition to condom promotion.DOI: http://dx.doi.org/10.3329/seajph.v4i1.21834 South East Asia Journal of Public Health Vol.4(1) 2014: 17-24

2009 ◽  
Vol 14 (47) ◽  
Author(s):  
A Velter ◽  
A Bouyssou-Michel ◽  
A Arnaud ◽  
C Semaille

We examined whether men who have sex with men (MSM) in France have adopted serosorting with their casual partners, serosorting being one strategy to reduce the risk of HIV transmission. We expected to see the same predictors of this practice with casual partners in France as in other similar MSM communities (HIV-seropositive, Internet dating). Data from a cross-sectional survey was used, based on a self-administered questionnaire conducted among readers of the gay press and users of gay websites in 2004. The study population consisted of MSM who reported their HIV status, as well as the practice of unprotected anal intercourse (UAI) with a casual partner at least once during the previous 12 months. Among 881 respondents included in the analysis, 195 (22%) had practiced serosorting: 14% among HIV-seropositive men and 26% among HIV-seronegative men. Serosorting was independently associated with the use of cruising venues (AOR 0.28, p=0.001) and Internet dating (AOR 2.16, p=0.051) among HIV-seropositive men, whereas it was independently associated with the use of cruising venues (AOR 0.59, p=0.013) and the fact of having less partners (AOR 1.50, p=0.046) among HIV-seronegative men. Serosorting requires an up-to-date knowledge of HIV serostatus for MSM and their UAI casual partners, and does not prevent from acquiring other sexually transmitted infections. Prevention campaigns are needed to underline the risks associated with serosorting.


2019 ◽  
Vol 31 (3) ◽  
pp. 237-245
Author(s):  
Aruna Chandran ◽  
Arik V. Marcell ◽  
Renata Arrington Sanders ◽  
Jamie Perin ◽  
Kathleen R. Page ◽  
...  

We aimed to identify provider encounter characteristics associated with awareness of and willingness to take PrEP among young urban minority males at higher risk for HIV acquisition. The 74 individuals included in this analysis from a cross-sectional survey of males aged 15–24 being seen at a Baltimore city clinic were those who identified as a man who had sex with men (MSM), reported injection drug use, were in a serodiscordant relationship, had a sexually transmitted infection (STI) in the past 6 months, or reported condomless sex with a partner with unknown HIV status. Topics of provider-initiated conversations associated with willingness to take PrEP included one's sexual behavior (OR 7.35, 95% CI [2.23, 24.26]), whether one had been hurt by a partner (OR 4.71, 95% CI [1.40, 15.87]), and risk reduction (OR 6.91, 95% CI [2.10, 22.81]). This study may yield new targets for provider-level interventions for increasing PrEP uptake.


2014 ◽  
Vol 9 (10) ◽  
pp. 1225-1238 ◽  
Author(s):  
Macarena C. García ◽  
Quyen L. Duong ◽  
Licelot C. Eralte Mercer ◽  
Samantha B. Meyer ◽  
Todd Koppenhaver ◽  
...  

BMJ Open ◽  
2018 ◽  
Vol 8 (9) ◽  
pp. e022632 ◽  
Author(s):  
Juan Ignacio García ◽  
Meritxell Sabidó ◽  
Mikhail Nikiforov ◽  
Adriana Smith ◽  
Gabriela Hernández ◽  
...  

ObjectiveTo describe and compare trends in prevalence, sexual behaviour and HIV transmission knowledge data related to sexually transmitted infections (STI) and HIV in patients attending three STI clinics over an 8-year period in Escuintla Department, Guatemala.MethodsSTI clinic attendees were classified into transmission groups as follows: female sex workers (FSW), men who have sex with men (MSM) and ‘high-risk heterosexuals’ (HRH). Annual cross-sectional analysis and multivariable Poisson regression adjusted for sociodemographic variables were used for prevalence comparisons and adjusted prevalence trends for HIV/STI outcomes and used for adjusted trends in proportions in sexual behaviour and HIV transmission knowledge outcomes. Endocervical swabs were obtained to detect trichomonas, chlamydia and neisseria infections. Serologies for syphilis and HIV were performed using rapid tests. For reactive HIV samples, positivity was confirmed by an ELISA. All reactive syphilis samples were further confirmed for diagnosis of active syphilis disease.ResultsFrom a total of 4027 clinic attendees, 3213 (79.78%) were FSW, 229 (5.69%) were MSM and 585 (14.53%) were HRH. The proportion of FSW, MSM and HRH who had a single visit was 56.42%, 57.23% and 91.10%, respectively. Overall, HIV prevalence was 2.10% in FSW, 8.17% in MSM and 4.12% in HRH. Prevalence trends in HIV and syphilis decreased in FSW. Prevalence trends in gonorrhoea did not decrease over time neither in FSW nor in HRH. Chlamydia and trichomonas infections in HRH showed an increase prevalence trend. In FSW, trends in condom use in last sexual intercourse with regular and occasional clients were above 93%.ConclusionsFSW show a decreasing trend in HIV, syphilis and chlamydia prevalence. Gonorrhoea prevalence in FSW and HRH did not decrease over time. HRH is a hard to engage population with low follow-up rates and high potential to act as a bridge population.


2021 ◽  
Vol 10 (s1) ◽  
Author(s):  
Melly Rahmayani ◽  
Agung Waluyo ◽  
Riri Maria

Background: HIV number continues to increase, especially among the minority of men who have sex with men (MSM) due to the high risks of their sexual behavior. This study aims to identify the correlation between sexual violence experiences and pornography media exposure to sexual risk behavior among people with HIV/AIDS (PLWHA) MSM.Design and Methods: The study employed a cross-sectional design with the consecutive sampling technique and involved 258 PLWHA MSM under the guidance of an NGO in Bandung, Jawa Barat, Indonesia. The data were collected by employing an online questionnaire.Results: The results show that there is a significant correlation between sexual violence experiences and sexual risk behavior (p=0.000, α=0.05; OR=6.496), pornography media exposure and sexual risk behavior (p=0.000, α=0.05; OR=4.271). The multivariate analysis of multiple logistics regression results reveals that the sexual violence experience is the factor that mostly influences the sexual risk behavior among PLWHA MSM (p=0.000, α=0.05; OR=3.784).Conclusions: The sexual violence experiences and pornography media exposure have a significant positive relationship to sexual risk behavior. Therefore, nurses need to improve a comprehensive assessment, counseling, and personal education to reduce sexual risk behavior that can transmit HIV and other sexually transmitted diseases and create innovations through positive activities to reduce pornography consumption.


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